Physiological Adaptation Q 180

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When performing oral care on a comatose client, Nurse Krina should:

  

     A. Apply lemon glycerin to the client’s lips at least every 2 hours.

     B. Brush the teeth with a client lying supine.

     C. Place the client in a side-lying position, with the head of the bed lowered.

     D. Clean the client’s mouth with hydrogen peroxide.

    

    

Correct Answer: C. Place the client in a side-lying position, with the head of the bed lowered.

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The client should be positioned in a side-lying position with the head of the bed lowered to prevent aspiration. A small amount of toothpaste should be used and the mouth swabbed or suctioned to remove pooled secretions.

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Option A: Lemon glycerin can be drying if used for extended periods.

Option B: Brushing the teeth with the client lying supine may lead to aspiration.

Option D: Hydrogen peroxide is caustic to tissues and should not be used.

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